Single Incision Laparoscopic Cholecystectomy: Demonstration of Critical View Dissection and Intraoperative Cholangiography

Single incision laparoscopic cholecystectomy is emerging as a potentially less invasive alternative to both standard laparoscopic cholecystectomy and NOTES cholecystectomy. However, as this technique becomes more widely employed, it is important to maintain the ability to perform the critical view dissection and intraoperative cholangiography. This video presentation demonstrates one technique for visualization of these two vital steps for safety in laparoscopic cholecystectomy. The patient is a 28-year old female with symptomatic cholelithiasis. The technique shown utilizes two 5mm ports placed through a single incision at the umbilicus and suture retraction of the gallbladder. The critical view dissection is accomplished prior to clipping of any ductal structures. For intraoperative cholangiography, the catheter is inserted through a percuanteously placed Verres needle in the right subcostal area.

Session: Podium Video Presentation

Program Number: V042

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